My fiancé is 26 years old and has had high blood pressure (BP) since he was 14. His average BP is 140/96 when medicated, but it often rises to over 200/100. He takes 50 mg of Atenolol daily and experiences symptoms like regular nosebleeds, headaches, and shortness of breath. His resting heart rate is 96 BPM, which seems high given his athletic background. He has been suffering from severe daily migraines for the past two weeks, with symptoms including vomiting, aura, and black spots in vision. The ER gave him Sumatriptan for migraines, but it hasn't provided relief. His high BP causes have never been investigated. Could his BP and these migraines be related? What should we do next for migraine relief? Should we worry about organ damage due to high BP? Should we investigate the reasons for his high BP?

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